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General NPI Number Information
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NPI Number | 1538528104
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Entity Type | Individual
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Provider Name | GWENDOLYN KURTZ-STENGER NP
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Gender | Female
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Dates
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Enumeration Date | 02/11/2016
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | 32605 W 12 MILE RD STE 195
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-3390
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Country | US
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Telephone | 313-306-2023
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Fax |
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Provider Business Mailing Address
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Address Line | 77 MONROE CENTE ST. NW
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City | GRAND RAPIDS
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State | MI
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Zip | 49503
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Country | US
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Telephone | 269-716-6606
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | 4704216263
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 4704216263
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 4704216263
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License Number State | MI
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